Active NPI
Kenneth S. Brown, M.D.
- Anesthesiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G70912
- Practice address
- 3626 Ruffin Rd
San Diego, CA 92123-1810 - Phone
- (858) 565-9666
- Fax
- (858) 565-9441
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G70912 | CA | Primary |
Addresses
Primary practice location
3626 Ruffin Rd
San Diego, CA 92123-1810
Mailing address
3626 Ruffin Rd
San Diego, CA 92123-1810
Phone (858) 565-9666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G709120 | Other | CA | BLUE SHIELD OF CA |
| 00G709120 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Ohio State University College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500
2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G70912 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Palm Springs Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Anesthesiology | Current | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1541 Florida Ave
Modesto, CA 95350
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
415 E Harding Way
Ste E
Stockton, CA 95204
Phone (209) 337-4935
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- San Bernardino, CA
- NPI 1083928501
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
dba Desert Region Family Medicine
- Internal Medicine Physician
- La Quinta, CA
- NPI 1841621323
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
Anesthesiology
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Memorial Hospital - Ventura
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
dba Community Memorial Health Center
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1366454241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 RUFFIN RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231810",
"telephone_number": "858-565-9666",
"fax_number": "858-565-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 RUFFIN RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231810",
"telephone_number": "858-565-9666",
"fax_number": "858-565-9441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KENNETH",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G70912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "00G709120",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G709120",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.